Multifocal cavernous hemangioma of the skull: report of a case and review of the literature

Primary hemangiomas, which are rare skeletal tumors, represent 0.7% of all osseous neoplasms. They are most commonly found in the vertebral column. They are exceedingly rare in the calvarium, accounting for 0.2% of all bone neoplasms. Most calvarial lesions are unifocal, but multiple hemangiomas have been reported. We present the case history of a 64-year-old man who was admitted with frontal and occipital headaches. He was found to have two radiolucent lesions on plain x-ray, left frontal and left occipital, which proved to be cavernous hemangiomas. The gross appearance, histopathology, radiological findings, and treatment options are reviewed.